WHO Global TB Control report

The 2005 report is embargoed for 00:01 GMT on 24 March and will be posted at that time.
WHO Global TB Control report

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Interviews of experts for World TB Day 2005

B-roll including Dr Marcos Espinal (Stop TB Partnership) in English and Spanish, Dr Mario Raviglione (WHO Stop TB Department) in English and French, and Lucy Chesire (Former TB/HIV patient) in English

Dr Marcos Espinal
Executive Secretary, Stop TB Partnership Secretariat

  • Clip 1 - (English)
    Investing in TB helps to fight poverty.
    Investing in tuberculosis control means rewarding, means reduction of poverty, means access to effective treatment, to the Global Drug Facility for instance, to effective cure, that means cure. And how can we reduce poverty? By ensuring healthy people. By preventing death. Because those affected are mostly in their economic prime. If we are able to prevent, that they become sick, they continue working, they are able to provide for their families, they get better nutrition, better health, and healthy life, means better life. So, I believe investing in tuberculosis control should be a priority for now and for the years to come because we have an effective strategy, we have a very highly efficacious cure.

  • Clip 2 - (English)
    Strong commitment to TB control is not only the governments' responsibility, it is everyone's responsibility.
    I would advise the government of the countries affected to put more funding for TB. to devote more commitment for TB, political, in terms of human resources for instance, health workers, the frontline staff that delivers the DOTS strategy, that delivers TB care, that are in the field. These are the key players. And also to bring together more partners, stakeholders, like NGOs, like community organizations that could help in the fight against TB and that has a role in TB, because TB control is not anymore a government responsibility it's a responsibility of all the stakeholders in the country, including the government which has a major role to play.

  • Clip 3 - (English)
    We must prevent the brain drain in countries and invest in the health care workforce.
    And this year's theme for the World TB Day is to salute the health care workers, the front line people who are in the fight, those who are leading the battle. There is a huge problem because in many countries salaries are not good, incentives are not available, education and training and retraining is not available and brain drain to countries for better quality of life is huge. So, we are pleading to poor countries to try to invest more in ensuring the workforce remains in the country, but remains also technically competent, and remains happy. But we also plead the industrialized countries to work together with poor countries to ensure that we reduce the brain drain as much as possible.

  • Clip 4 - (English)
    Thank you to the health workers.
    World TB Day is exclusively devoted to them this year. We want to say thank you to all these workers around the world and say that we are really grateful for the job they are doing we would like to encourage them to continue working in TB, because in TB you have rewards, that is, to get people to get cured.

  • Clip 5 - (English)
    China, India and Uganda are good examples of "best practice" countries in TB control.
    There 8 million new cases every year and 2 million deaths. There are 22 high-burden countries for tuberculosis. There are excellent examples, and I can mention a couple, China, India, Uganda in Africa. India is a success story in engaging private providers in TB control. It is a success story of a partnership example between the public sector and the private sector.

  • Clip 6 - (English)
    China's commitment to the DOTS strategy -- key to TB control success.
    The TB control strategy in China a few years ago did not include hospitals in China, it was basically dispensaries and centers specifically for TB but the general hospital was not part of that, or were part of that but in a different strategy. Now China is making the move to make available the DOTS strategy available to all health centers around the country and has empowered all the provinces to do that and we think this is the move that was needed because this is where most of the missing cases are.

  • Clip 7 - (English)
    Uganda's success in bringing together a variety of stakeholders in TB control.
    Uganda, the commitment from Uganda has been mastered. Uganda just launched in the last year, the Stop TB Partnership Uganda bringing together all stakeholders around the country, with plenty of NGOs for coordination, and the donor community. So I most praise the government of Uganda, China and India for making sure TB control is a high priority in their political agenda.

  • Clip 8 - (English)
    What is the Stop TB Partnership?
    The Global Partnership to Stop TB is a coalition of more than 300 partners of which 50% of them are NGOs, non-governmental organizations, but we also have constituencies of academia, governments, donor countries, corporate sector, the private sector.

  • Clip 9 - (English)
    What is the Stop TB Partnership's role in TB control?
    The Partnership's role is to ensure that TB control goes ahead, that TB control's agenda its always up to date, and ensure that all the partners have a say, have a voice. Because as I said earlier, TB control is not only a responsibility of WHO or the governments, it's a responsibility of different stakeholders, the donor community also want to have its voice heard, and the Partnership is a forum where partners come and say, and work together for moving the agenda. It's an inclusive forum of different stakeholders. Everyone interested in TB is a member of the Stop TB Partnership. Our goals, making sure we reach the global target for 2005 and also the millennium development goals in 2015. And the ultimate goal is to eliminate TB as a public health problem by 2050.

  • Clip 10 - (English)
    NGOs play a big role in the Partnership.
    Fifty percent of our more than 300, 330 at this moment, members are NGOs, and more importantly in the board of the Partnership we have 3 or 4 NGOs representing for instance, the International Federation of Red Cross, also we have the International Union Against Tuberculosis and Lung Disease, these are two examples of NGOs are members of the Stop TB Board.

  • Clip 11 - (English)
    We have the tools to prevent the 8 million new cases of TB every year from becoming sick.
    When we see 8 million new cases and 2 million people dying every year, we can prevent those people from dying. We can prevent those 8 million new cases from being sick if we want. And from spreading disease also, because they spread disease to their families. And we have the tools. We have in the Partnership for instance, the Global Drug Facility, a facility that has provided 4 million treatments to 65 countries in the developing world. And this is an achievement of the Partnership, an achievement of WHO, an achievement of the International Union Against Tuberculosis and Lung Disease. We all own the Global Drug Facility. The countries own the Global Drug Facility. And when you have a facility that has provided more than 4 million treatments in 4 years of existence curing people, there is no doubt in my view there is the need to keep TB as a priority because 8 million people every year is not acceptable. It is a human right crisis.

  • Clip 12 - (English)
    TB must be high on the political agenda in donor countries.
    There is no justification for donor countries, for developing countries not to put more emphasis on TB, or not to have TB high on the political agenda.

  • Clip 13 - (English)
    We must develop new tools to improve TB control.
    To eliminate TB we need new tools. But the current tools are able to prevent, to cure those who die of TB, those who are affected by TB.

  • Clip 14 - (English)
    New tools, drugs, vaccines and diagnostics will help us to go beyond meeting the millennium development goals.
    Now, the Partnership is also developing new tools, new drugs, new vaccines, new diagnostics, because we need to go beyond the millennium development goals, it is not race it is a marathon that we are now pursuing, and those new tools are also a priority for the Partnership.

  • Clip 15 - (English)
    Unlike Multi-drug resistant TB, the overwhelming majority of TB cases are fully responsive to treatment.
    Because we need better drugs for TB also that could target multi-drug resistant TB. The percentage of and number of cases has been estimated between 300 or 400,000 in the year 2000, cases of MDR-TB. But remember the main priority should be TB because if we are talking about 3% or 4% of 8 million new cases affected by MDR, or multi-drug resistance that means that 97 or 96% of the cases are fully responsive to the normal TB treatment that we are making available to countries.

  • Clip 16 - (Spanish)
    La alianza alto a la tuberculosis este año dedica el día mundial de la Tuberculosis a los trabajadores de la salud.
    La alianza alto a la tuberculosis este año dedica el día mundial de la Tuberculosis a los trabajadores de la salud. Estamos complacidos de que los trabajadores de salud continúen trabajando en tuberculosis. Ustedes son la parte vital de esta lucha, y de esta lucha maratónica yo diría por lo que nosotros queremos saludarles, queremos ofrecerles nuestra ayuda para continuar en esto. Estamos trabajando con los gobiernos de manera para que las condiciones de vida que las condiciones de los trabajadores de salud sean mejoradas, de que los gobiernos escuchen más y mejoren su trabajo. Al mismo tiempo queremos estimularles a que ustedes los trabajadores de salud, continúen trabajando en tuberculosis porque sabemos que esto no termina ahora.

  • Clip 17 - (Spanish)
    El primer ejemplo y el más reconocido de la alianza alto a la tuberculosis ha sido el de Perú. También el caso de México está dando pasos enormes para alcanzar las metas y el progreso ha sido excelente para envolver a la comunidad.
    El primer ejemplo y el más reconocido de la alianza alto a la tuberculosis ha sido el de Perú. Que fue el primer país en salir de la lista de la veinte dos países de mas alta carga. Porque Perú ha llegado alcanzar las metas para los detección de los casos y la curación de 70% y 85% respectivamente. Y Perú ha continuado por esa senda de progreso y de éxito. Tenemos también el caso de México que está dando pasos enormes para alcanzar las metas y el progreso ha sido excelente para envolver a la comunidad. México ha hecho esto también muy bien y bueno esperamos que otros países sigua en esa senda.

Interviews of Dr Raviglione and Ms Chesire are available in video files here (towards the end of the file). Should it prove difficult to work with the file for radio production, please contact The Stop TB Partnership advocacy and communications team for assistance at: stoptbadvocacy@who.int.

Dr Mario Raviglione
Director of Stop TB Department in the World Health Organisation

  • Clip 1 - English
    Tuberculosis is a major public health threat because it is spread via the air and there is no way we can stop TB at the border. So we really need to invest where TB is a major problem in order to control it.

  • Clip 2 - English
    While in the majority of regions of the world, effectively all of them with one exception, TB incidence is going down or is under control. However, there is the big problem of Africa which is the region where TB incidence is increasing and keeps increasing for more than a decade now, and that is effectively offsetting the gains that have been made in other regions of the world.

  • Clip 3 - English
    What Africa needs to do to face this major epidemic is an intensified mobilisation of the society in such a way that decision makers, the politicians, understand fully that TB is out of control and that urgent measures must be put in place.

  • Clip 4 - French
    Le rapport que l'on vient de publier montre que la tuberculose est complètement hors contrôle dans la région africaine qui est la région du monde où l'incidence de al maladie a continué à augmenter pendant les dernières 10 ou 15 années.

  • Clip 5 - French
    Je pense que une des raisons pour cette situation de la tuberculose qui est hors contrôle en Afrique est dûe au manque d'engagements dans beaucoup de pays où les grandes autorités politiques n'ont pas encore compris très clairement qu'il faut faire quelque-chose d'urgent pour contrôler l'épidémie.

Ms Lucy Chesire
TB/HIV activist

  • Clip 1 - English
    In the case of Africa and you having both TB and HIV co-infection, many are the chances that you're going to die. Because TB really messes up the immune system and you can easily sucome to the AIDS stage. And we are living in an area whereby access to ARVs is really a big issue, so once you're down with TB chances of survival is really minimal.

  • Clip 2 - English
    To have TB in Africa from my own personal experience is more or less like a death sentence.

  • Clip 3 - English
    We are calling upon the rest of the world to invest more on tuberculosis, realising that most of the high burden countries are in Africa. So we need to have them invest more so that we're able to control TB. We know that TB is a disease that is curable, it's manageable, it's preventable. So the more they are investing in it the more chances of many people having their health status backed up, with better access to treatments.

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